Charmaine Kawehilani Au, MD | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-8411 | |
Not Available |
Full Name | Charmaine Kawehilani Au |
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Gender | Female |
Speciality | Pediatrics |
Location | 1034 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659547404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4922495-1205 (Utah) | Secondary |
208000000X | Pediatrics | 4922495-1205 (Utah) | Primary |
208M00000X | Hospitalist | 4922495-1205 (Utah) | Secondary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Charmaine Kawehilani Au, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Charmaine Kawehilani Au, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-8411 |
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000 | |
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700 | |
Danielle Elise Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 | |
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801 | |
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707 | |
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 | |
Dr. Matthew Joseph Clayton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 Phone: 801-377-4800 Fax: 801-377-4041 |